Medication Administration 5-Hour Training Course for Adult ...

Medication Administration 5-Hour Training Course for

Adult Care Homes

Instructor Manual

North Carolina Department of Health and Human Services Division of Health Service Regulation

Center for Aide Regulation and Education Adult Care Licensure Section

The Medication Administration: 5-hour Training Course for Adult Care Homes was developed as a joint effort by the Center for Nurse Aide Education and Regulation and Adult Care Licensure Section of the Division of Health Service Regulation, N.C. Department of Health and Human Services.

The curriculum for the 5-hour training course was adapted from the Medication Administration: A Medication Aide Training Course developed by the North Carolina Department of Health and Human Services and the North Carolina Board of Nursing.

CURRICULUM DEVELOPMENT Center of Aide Education and Regulation, Division of Health Service Regulation

Adult Care Licensure Section, Division of Health Service Regulation North Carolina Department of Health and Human Services September 2013

Medication Administration

5-Hour Training Course for Adult Care Homes

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Medication Administration: 5-Hour Training Course for Adult Care Homes

Instructor Manual Table of Contents

TABLE OF CONTENTS

Section Section 1 Section 2

Title Title Page Table of Contents Medication Aide in Adult Care Homes Introduction Pre-requisite for Students Medication Aide Course Training Requirements and Directions for Use Student Manual Course Objectives Course Schedule Prerequisite Skills Review and Validation

Basic Medication Administration Information/Terminology Teaching Guide Abbreviations Common Routes of Medication Administration Common Dosages Forms of Medications Intro to Equipment and Supplies for Medication Administration Six Rights of Medication Administration Medication Errors Medication Administration and Resident's Rights Medication Allergy Recognizing Side Effects Medication Resources or References

Medication Orders Teaching Guide Medication Orders

Definition of an Order Components of an Order Telephone and Verbal Orders Forms commonly used to Document Medication Orders FL-2 Physician's Order Forms Medication Administration Records (MARs) Medication Labels

Page i ii v vi vi

vii viii ix xi

1

1-1 1-2 1-3 1-4 1-4 1-5 1-6 1-7 1-7 1-8 1-8 1-9

2-1 2-2 2-3 2-3 2-3 2-4 2-5 2-5 2-5 2-5 2-6

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Medication Administration: 5-Hour Training Course for Adult Care Homes

Instructor Manual Table of Contents

Section

Title

Page

Section 3 Medication Administration

3-1

Teaching Guide

3-2

Infection Control/Standard Precautions

3-3

Hand Hygiene

3-4

Gloves

3-5

Injection Safety

3-6

Medication Administration Supplies

3-6

Right Resident: Identifying Residents

3-7

Right Medication/Right Dose/Right Route/Right Time:

Medication Administration Record and Medication Label

3-7

Right Documentation: Medication Administration Record

3-8

Unique Situations to do Prior to Administration

of Medications

3-9

Vital Signs

3-9

Crushing Medications

3-10

Administering Medications: Medication Routes

General Medication Administration

3-10

Oral Medication Administration

3-11

Sublingual Medication Administration

3-12

Oral Inhalant

3-13

Eye Medication Administration

3-13

Ear Medication Administration

3-13

Nasal Medication Administration

3-14

Transdermal Medication Administration

3-14

Topical Medication Administration

3-15

Injection Medication Administration (Optional)

3-15

Section 4 Ordering, Storage and Disposal of Medications

Teaching Guide

4-2

Ordering Medication

4-3

Medication Storage

4-3

Controlled Substances

4-4

Disposal of Medications

4-4

Section 5 Medication Administration Checklists

Instructions for Completing the Medication Administration

Checklists

5-1

Hand Hygiene (Skills #1-3)

5-3

General Medication Administration (Skills #4A & #4B)

5-6

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Medication Administration:

5-Hour Training Course for Adult Care Homes

Section

Title

Section 5

Medication Administration (cont'd) Oral Medication Administration (Skill #5) Sublingual Medication Administration (Skill #6)) Oral Inhalant (Skill #7) Eye Medication Administration (Skill #8) Ear Medication Administration (Skill #9) Nasal Medication Administration (Skill #10) Transdermal Medication Administration (Skill #11) Topical Medication Administration (Skill #12) Injections Medication Administration (Skill #13 & #14)

Section 6

Handouts #1A Abbreviations #1B Common Routes of Medication Administration #1C Common Dosage Forms of Medications #1D Six Rights of Medication Administration #1E Medication Errors #1F Resident's Refusal to Take Medications #2A Medication Orders #2AA Medication Order (Answers) #2B FL-2 (Blank) #2C MAR (Blank) #2D FL-2 (Transcription Activity) #2E MAR (Transcription Activity Answers) #2F Medication Labels #3A Injection Safety: Diabetes & Viral Hepatitis #3B Review of Measuring Devices #3C Always and Never #3D Measuring Tips #3E Technique and Use of Oral Inhalers

Section 7

Activities Activity #1 Hand Hygiene Activity #2 Instructions for Glove Sizing Activity #3 Gloves, Gloves, Gloves Activity #4A, B, C Medication Administration Record

Appendix

Test Certificate References

Instructor Manual Table of Contents

Page

5-8 5-9 5-10 5-11 5-13 5-14 5-15 5-16 5-17

6-1 6-2 6-3 6-4 6-5 6-6 6-7 6-8 6-9 6-10 6-11 6-12 6-13 6-14 6-15 6-16 6-17 6-18

7-2 7-3 7-4 7-5

7-8 7-14 7-15

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